Carissa L Spraberry, A.T.C., L.A.T., M.ED

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT3082 Issued in TX

Practice address

8540 C E King Pkwy
Houston, TX 77044-2000

Phone

(281) 727-3581

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Carissa L Loflin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1659401222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20902 NOELLE CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385600",
            "telephone_number": "832-253-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 C E KING PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770442000",
            "telephone_number": "281-727-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRABERRY",
        "first_name": "CARISSA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "A.T.C., L.A.T., M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT3082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "LOFLIN",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "A.T.C., L.A.T., M.ED",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Athletic Trainer in Houston, TX
• Providers in Houston, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.